Academic Journal

Impact of periodontitis in quality of life of crack cocaine users in withdrawal treatment.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Impact of periodontitis in quality of life of crack cocaine users in withdrawal treatment.
Συγγραφείς: de Castro ADS, Betoni DB, Fabris J, Czmola de Lima PL, Gabardo MCL, Assunção LRDS, de Lima AAS, Mendes RT, Machado MÂN
Πηγή: Quintessence international (Berlin, Germany : 1985) [Quintessence Int] 2026 Jun 22; Vol. 57 (6), pp. 460-469.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Quintessenz Verlags-GmbH Country of Publication: Germany NLM ID: 0342677 Publication Model: Print Cited Medium: Internet ISSN: 1936-7163 (Electronic) Linking ISSN: 00336572 NLM ISO Abbreviation: Quintessence Int Subsets: MEDLINE
Imprint Name(s): Original Publication: [Berlin : Quintessenz Verlags-GmbH, 1985-
Ιατρικοί όροι (MeSH): Crack Cocaine*/adverse effects , Periodontitis*/psychology , Cocaine-Related Disorders*/complications , Cocaine-Related Disorders*/rehabilitation , Quality of Life* , Substance Withdrawal Syndrome*, Brazil/epidemiology ; Humans ; Male ; Cross-Sectional Studies ; Adult ; Oral Health
Περίληψη: Objective: To assess the impact of periodontitis and associated factors on self-perception of oral health among Brazilian male crack cocaine users in withdrawal treatment.
Method and Materials: A cross-sectional study was conducted with 242 adult male crack cocaine users in rehabilitation programs in two municipalities in Paraná, Brazil. Periodontal status, oral health behavior, addiction history, socioeconomic, and sociodemographic data were analyzed. Self-perceived oral health-related quality of life (OHRQoL) was assessed by the short form of the Oral Health Impact Profile (OHIP-14), cross-culturally adapted and validated for the Brazilian population. Descriptive statistical analysis and univariate and multiple Poisson regression were performed.
Results: The periodontal parameters were observed: probing depth ≥ 4 mm in 20.2% of crack cocaine addicts, clinical attachment level ≥ 4 mm in 23.6%, bleeding on probing in 90.9%, gingival bleeding in 96.3%, plaque and calculus in equal frequencies of 97.1%. Periodontitis was diagnosed in 63% of the sample and the mean OHIP-14 score was 24. All individuals with periodontitis presented impact on OHRQoL. Periodontal inflamed surface area (PISA) was significantly correlated with OHRQoL (r = 0.18; P = .007). In the multiple regression model, the prevalence of a negative impact on perception of oral health was statistically different among individuals with metallic taste in the mouth (prevalence ratio = 1.11; 95% CI = 1.03-1.20) and tooth mobility (prevalence ratio = 1.09; 95% CI = 1.00-1.18).
Conclusion: Periodontitis may be associated with OHRQoL and high scores of OHIP-14 in crack cocaine users in withdrawal treatment, regardless of socioeconomic, demographic, behavioral, and other oral conditions. (Quintessence Int 2026;57:460-469; doi: 10.3290/j.qi.b6982838).
Contributed Indexing: Keywords: crack cocaine; drug users; oral health; periodontitis; quality of life
Substance Nomenclature: 0 (Crack Cocaine)
Entry Date(s): Date Created: 20260415 Date Completed: 20260622 Latest Revision: 20260630
Update Code: 20260630
DOI: 10.3290/j.qi.b6982838
PMID: 41983968
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1936-7163
DOI:10.3290/j.qi.b6982838